Laserfiche WebLink
E IGN PERMIT APPLICATIOS <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application&plans to 3200 Cedar Street 2nd Floor Intake Drop Box. <br /> WASHINGTON CONTACT INFORMATION: (P)425-257-8810 I(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 11632 HWY 99 PARCEL#: <br /> cn-y EVERETT STATE WA ZIP 98204 <br /> SUITE/UNIT#: B ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):MALEK BARBER SHOP <br /> CONTACT INFORMATION <br /> OWNER NAME:Champions Real Estate Services, Inc. <br /> OWNER MAILING ADDRESS: STREET 649 5th St. #200 <br /> c,TY Mukilteo STATE WA ZIP 98275 <br /> OWNER PHONE:425-289-9606 OWNER EMAIL:Debbiesunso@gmail.com <br /> CONTRACTOR CONTACT NAME:Mark Madsen <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):WHOLESL813CF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 60387 <br /> CONTRACTOR ADDRESS: STREET 10422 224TH St E <br /> CITY Graham STATE WA zip 98338 <br /> CONTRACTOR PHONE:253-433-4764 CONTRACTOR EMAIL:MADSENMARK234@GMAIL.COM <br /> PRIMARY CONTACT:rDWNER I ;ONTRACTOR ✓DINER(Please Specify) Sign applicant <br /> CONTACT NAME: CONTACT PHONE:206-257-9221 <br /> Long Liu CONTACT EMAIL:happylongboy@gmail.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK: $3500 ASSOCIATED PERMIT#(if applicable): <br /> (Valuation shall include the prevailing fair market value of all later,materials,and equipment needed to complete the work,whether actually paid or not) <br /> DESCRIPTION OF WORK: <br /> Remove previous sign and install 1 LED wall sign. <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 163" Height: 26" Square Feet: 29.4 <br /> Sign 2: Width: Height: Square Feet: <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: ✓ Vall/Awning/Canopy-Qty: 1 EVindow-Qty: [Ilectronic Changing Message-Qty: <br /> _'rojecting-Qty: ❑reestanding-Qty: -Type(monument,etc.): <br /> SIGN LIGHTING:nlon-Iluminated {1uminated-Type(backlit cabinet.etc.):standard channel letters *requires a separate electrical permit <br /> PLAN REVIEW REQUIREMENTS:Submit 2 hard copies of sign plans with permit application to Permit Intake Drop Box. <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br /> current federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> \' City of Everett Official Use Only <br /> 6'/ <br /> I LL PERMIT# 52ZCCO—COe") <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br />